The Vitality Center
Counselor, Mental Health in Champaign, IL. Organization (NPI-2).
NPI number1114701554
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1114701554
- Entity type
- Organization (NPI-2)
- Legal business name
- The Vitality Center
- Organization subpart
- Yes
- Enumeration date
- Aug 24, 2023
- Certification date
- Aug 23, 2023
- Last updated
- Aug 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- The Vitality Center (Doing Business As)
Practice location
701 Devonshire Dr Ste C19Champaign, IL 61820-7352
Phone 309-431-5381
Mailing address
701 Devonshire Dr Ste C19Champaign, IL 61820-7352
Phone 309-431-5381
Authorized official
Imani Harrison
Owner
2172550346
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